JUVI ROSE SEMINIANO

Work History

Registered Nurse Clinical Supervisor

Lomita Post Acute Care Center

06.2022 - Current

Communicated with patients, ensuring that medical information was kept private.
Created customized care plans, working with hospital staff and families to assess and meet individual needs.
Motivated and supervised about 15 nursing staff, RN Supervisor in delivering quality patient care.

REGISTERED NURSE

AT ACACIA ADULT DAY SERVICES

07.2021 - 06.2022

Offers day care services to elderly population, assesses, administers medications and assessed for changes in conditions and notify MD/PCP as appropriate.
Updated patient charts with data such as medications to keep records current and support accurate treatments.

Registered Nurse Supervisor

Independent Options, Inc

01.2019 - 02.2022

Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans
Provided direct patient care, stabilized patients and determined next course of action
Updated patient charts using THERAP with data such as medications to keep records current and support accurate treatments
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
Collaborated with interdisciplinary healthcare personnel to meet patients' personal, physical, psychological and cognitive needs
Serves as the staff Registered Nurse for an Adult Residential
Facility for Persons with Special Health Care Needs (ARFPSHN) to provide life-long continuous care for residents into the Community from the State Developmental Centers through Regional Center of Orange County (RCOC) Community
Placement Plan
Several nursing tasks includes helping to provide 24 hour medical/nursing care and intensive support in a home-like settings for clients transitioning from Fairview Developmental
Center located in Costa Mesa
Care and managed patients with oxygen administration, CPAP,
BIPAP, deep suctioning, tracheostomy care and tracheostomy dressing changes, etc
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans

REGISTERED NURSE SUPERVISOR

San Gabriel Convalescent Center

12.2020 - 12.2021

PER DIEM, SAN GABRIEL CONVALESCENT CENTER
PRINCIPAL DUTIES, Serves as nursing RN supervisor for SNF/LTC and utilizes Point
Click Care (PCC) as electronic medical record
Supervises and oversees the direct care of the residents being provided by the LVNs, C.N.A.s in order to maintain quality resident care
Responsible for contacting residents attending physicians for change of condition, new admission orders, discharge orders and all necessary changes in medication and treatment orders
Responsible for notifying resident family members/surrogate decision makers of all changes in condition, changes in medication and treatment orders, obtaining informed consents, developing resident care plans, accurate and timely documentation of all physician, resident, family member/surrogate decision maker communication
Ability to respond quickly, calmly and professionally to medical emergencies
Knowledgeably and skillfully performs Intravenous therapy, tube feedings, oxygen administration and related procedures
Accurately carries out medication administration and treatment procedures as necessary
Willing to accept additional responsibilities in emergency situations to ensure quality resident care is maintained.

REGISTERED NURSE

EMPLOYEE HEALTH, St. Jude Hospital

06.2020 - 05.2021

Yoh, A Day & Zimmerman Company -worked at Providence hospital to provide either Pfizer, Moderna or Johnson according to facilities policies
Served as Employee health for COVID staff at St Jude hospital.

Registered Nurse Case Manager

Long Beach Veterans Hospital

02.2015 - 02.2019

Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations
Serves as the RN Case Manager for the outpatient Primary
Care clinic with the military Veteran population
Several nursing tasks achieve including centering services around the veteran, to foster veteran self-managed care and maximize efficient and cost-effective use of health resources seeks to ensure the continuity of care by coordinating all tests, examinations, consultations and care according to the condition of the veteran
Helped patients receive appropriate, high-quality care with reasonable results
Utilizes the CANS (Care Assessment Needs Score) to monitor 30 high risk veterans and indicates how a given veteran
Horseback riding
Shark week compares with other individuals in terms of likelihood of hospitalization or death
Several RN case manager tasks are making sure that veterans have the proper services to provide for their care, referring them for home telehealth, Social work and Pharmacy and ensure all veterans receives the appropriate care to improve their health
Awarded the Treasure Chest Award for outstanding performance as a Patient Aligned Care Team (PACT) to improve patient access
As a result, it helped meet enhancement of clinical Quality outcomes, achievement of maximizing employee potential and team synergy, care of patients, continuum of care, improving organizational performance and leadership
Evaluated treatment plans against individual goals and healthcare standards

RN Supervisor

Bay Crest Care Center, Downey Care Center LTC

05.2015 - 12.2018

LTC at Bay Crest Care Center and Downey Care Center
SNF/LTC through Maxim Agency Per-Diem
Serves as nursing RN supervisor for SNF/LTC and utilizes Point
Click Care (PCC) as electronic medical record
Supervised and delegated patient care assignments based on nursing needs of each patient, medical regimen considering qualifications and skill mix of RN's, LVNs and CNAs
Several nursing tasks including initiating and administering IV antibiotics, IV fluids and utilizing PICC lines
Excels at determining nutritional needs of LTC/SNF patients as well as implementing strategic physical activity improvement plans
Specializes in supporting patients through traumatic emergency care and crisis management
Reported to physicians, other specialists and families about the progression of symptoms observed in patients
Several nursing tasks include consulting and coordinate with health care team members to assess, plan, implement and evaluate patient care plans
Records adverse reactions to medications or treatments in accordance with the policy regarding the administration of medications
Records and manages adult symptoms common to adults including cardiovascular, respiratory, GI, urinary, hematological, musculoskeletal, endocrine, neurological, psychiatric/psychosocial, integumentary, sensory and pain problems
Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options
Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans
Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to over 80 patients daily.

Registered Nurse Supervisor

Skilled Unit Bedford Veterans Hospital

05.2008 - 01.2015

Edith Nourse Rogers Memorial VA Hospital) LTC/SNF/CLC
Served as the facilitator for the weekly interdisciplinary team meetings care plan
Several nursing tasks achieved includes care of PICC lines and central lines used for intermittent or continuous infusions such as IV fluids infusions, and IV antibiotics and assisting with blood draws from PICC lines
Completed IV Certification program on 4/2013 at Boston
College, Assists veterans with their activities of daily living, obtained vital signs, performed assessments and adhered to standard care precautions
Serves as the RN supervisor for approximately 30 with high risk medical/psych problems
Independently identified and reported relevant changes in patient status to MD/NP obtained glucose level using glucometer, administered insulin accordingly, set up O2 delivery via NC and as needed suctioning, transferred veterans if needed to be sent to hospital, implemented therapeutic communication and ensured safe environment
Care and managed patients with oxygen administration, CPAP,
BIPAP, oral, nasal and deep suctioning
PEG tube care with continuous or intermittent feedings, colostomy care, ileostomy care, bladder irrigation PRN, Foley catheter care, bladder scan, condom catheters, straight catheter
PRN, dialysis monitoring and care including their access sites, and wound care including wound VAC management
Accepted and graduated to the VA LEAD (Leadership,
Effectiveness, Accountability and Developmental Program) which is a one year leadership developmental program for highly motivated employees who have the desire to learn and work extra hard to develop their leadership skills
Through this program, a major change was developed in changing the IV template documentation within the whole facility and is according to the current standards
Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.

Registered Nurse Supervisor

Wachusett Manor

05.2013 - 08.2014

Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion
Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence
Monitored patient condition, including interpreting and tracking
EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity
Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability
Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans
Led teams in driving successful patient outcomes by prioritizing standard of care and best practices
Managed quality care for patients with varied conditions, including heart failure, end-stage renal disease and coronary artery disease
Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns
Sustained quality standards by performing routine medication audits and upholding internal and industry best practices
Partnered with physicians, social workers, activity therapists,
Education
Volunteering nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems
Motivated nursing staff to pursue advanced training and collaborated with unit leaders to identify skill needs
Monitored patient reactions to drugs and carefully documented progress of individuals participating in clinical trials
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options
Secured controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities
Participated in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities
Audited charts and reviewed clinical documents to verify accuracy
Gathered lab specimens, ordered testing and interpreted results to diagnose patients
Implemented interventions, including medication and IV administration, catheter insertion and airway management
Clinical Skills - Monitored patients' respiration activity, blood pressure and blood glucose levels in response to medical administration.

Captain

Force Nurse Corps, Force Reserves Corps

02.2011 - 07.2014

Of US Air Force Reserves Nurse
Corps, Of The US Air, The officer in charge of the enlisted group members to provide mission ready nursing care to all military soldiers
Administered medications via PO, IM, SC, IV push and topical methods
Provided in services/class to enlisted and officer personnel on military medical nursing topics such as insertion of Foley catheters, IV administration, etc
Managed patients recovering from medical or surgical procedures, including facilitating wound care, ostomy care, pressure ulcer prevention and pain management
Trained new nurses/new Medics in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety
Performed triage on all incoming patients and determined severity of injuries and illnesses.

Summary

Overview

Work History

Registered Nurse Clinical Supervisor

REGISTERED NURSE

Registered Nurse Supervisor

REGISTERED NURSE SUPERVISOR

REGISTERED NURSE

Registered Nurse Case Manager

RN Supervisor

Registered Nurse Supervisor

Registered Nurse Supervisor

Captain

Education

MSN -

Bachelor of Science - Nursing

Associate of Science - Nursing

Skills

Accomplishments

Timeline

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